Provider Demographics
NPI:1952481483
Name:STERLING PHARMACY GROUP, INC.
Entity Type:Organization
Organization Name:STERLING PHARMACY GROUP, INC.
Other - Org Name:OWINGSVILLE DRUG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNETTE
Authorized Official - Suffix:JR
Authorized Official - Credentials:RPH
Authorized Official - Phone:859-585-1854
Mailing Address - Street 1:125 FOXGLOVE DR UNIT A
Mailing Address - Street 2:
Mailing Address - City:MT STERLING
Mailing Address - State:KY
Mailing Address - Zip Code:40353-9735
Mailing Address - Country:US
Mailing Address - Phone:859-585-1854
Mailing Address - Fax:859-520-3534
Practice Address - Street 1:53 MILLER DR UNIT 3
Practice Address - Street 2:
Practice Address - City:OWINGSVILLE
Practice Address - State:KY
Practice Address - Zip Code:40360-2212
Practice Address - Country:US
Practice Address - Phone:606-674-6334
Practice Address - Fax:606-674-2059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY54034129Medicaid
KY1254010001Medicare NSC